ABSTRACT

Primary tracheal cancers are exceptionally rare, representing 0.03% of all reported cancers. The standard of care for tracheal chondrosarcoma is a complete surgical resection with negative margins followed by end-to-end anastomoses. There are no reported recurrences in cases after appropriate R0 resection with negative margins. Endoscopic resection is not recommended because of high rates of recurrence. Here, we describe the surgical technique for resection of a 5-mm grade I chondrosarcoma located five rings above the carina. Important considerations during surgery include avoiding injury to the left recurrent laryngeal nerve, phrenic nerve, or blood supply.